Providers|Agents & Brokers
Register
HOME  /  AGENTS  /  INSIGHT  /  MAY 2024  /  MEDICARE UPDATES

Medicare/Medicaid updates.

CMS has extended a temporary Special Enrollment Period for Medicaid Unwinding. The end date will be extended from July 31, 2024, to November 30, 2024, which will help people through the start of open enrollment. Please note that this is optional for state-based exchanges. You can find more information about the temporary SEP at the links below. Please pass it along to anyone who may benefit from this information.

Encouraging Annual Wellness Visits (AWV): A midyear touchpoint for Medicare Advantage members.

Annual wellness visits serve as a crucial touchpoint for preventive care and personalized health management for members. Reaching out to your clients about scheduling AWVs provides you with an opportunity to proactively engage in their health and well-being. 

The Importance of AWVs.

Preventive Care: AWVs play a pivotal role in the early detection and prevention of health issues, empowering individuals to take proactive steps toward their well-being.

Comprehensive Assessment: AWVs provide an evaluation of physical, mental, and emotional health, ensuring a thorough understanding of each member's health status.

Empowerment and Management: AWVs empower individuals with the knowledge and resources to optimize their health and effectively manage chronic conditions.

How you can help.

Education and Advocacy: Inform members about the benefits of AWVs and encourage them to prioritize these visits for their health.

Incentivization: Highlight the $40 healthy living reward available to members upon completion of their AWV.

Follow-Up Support: Offer support and guidance to ensure members schedule and attend their AWVs, demonstrating your commitment to their health journey.

Together, let's champion AWVs as a cornerstone of preventive care, empowering members to lead healthier lives.

Reordering a Select Health Medicare Flexible Benefits card.

Have a member who has lost or mistakenly thrown away their flex card? Here are three simple ways your member can get a replacement card.

Call 833-878-0232 (TTY: 711)

You can help by guiding members to call Nations Benefits and request a replacement card over the phone. It's a quick and straightforward solution, ensuring members get the assistance they need promptly.

Benefits Pro App.

With the Benefits Pro app, members can order replacement cards directly from their mobile devices. The replace card option can be found under the Flex Card page by selecting the member's account information.

 benefits pro app image

Benefits Pro Portal.

You can direct members to the Benefits Pro portal, where they can easily order replacement cards online. By accessing the 'Manage Card' section on the home page, members can initiate the process with just a few clicks, ensuring efficiency and ease. 

image of benefits pro portal

 

Part D EOB Distribution Update.

We want to inform you about an upcoming situation that may affect your clients’ experience with Part D Explanation of Benefits (EOBs). Members will receive all of their Part D EOBs from the beginning of the year through May at one time. There was a delay in the delivery of all Part D EOBs because of a technical issue with Change Healthcare, which has been resolved.

We are sending a communication to members letting them know they should expect their EOBs to arrive soon.

The volume of EOBs may still prompt questions from your clients.

As their trusted agent, your support in addressing any concerns is invaluable. We appreciate your help in educating your clients about the situation and reassuring them that their EOBs were processed correctly.

Thank you for your partnership and dedication to providing excellent service to your clients. If you have any questions, please reach out to your Sales Account Executive.